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Individual

PAUL BIRCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
10605 JUDICIAL DR STE A1, FAIRFAX, VA 22030
(703) 713-5811
Mailing address
10605 JUDICIAL DR STE A1, FAIRFAX, VA 22030-5116
(703) 713-5811

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001404
VA
106H00000X
Marriage & Family Therapist
344780-3902
UT
106H00000X
Marriage & Family Therapist
70174
CA

Other

Enumeration date
11/09/2015
Last updated
07/13/2018
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